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Home My WebLink About2013-00871 - addn/remodel/repair - excrow refunded � e CITY OF ORONO * z 0 1 3 - 0 0 8 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/04/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1360 NORTH ARM DR PIN : 07-117-23-41-0085 LEGAL DESC : VOLK JOHNSTON ADDN : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 35,000.00 NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL, ELECTRICAL(STATE) ADDITION ESCROW WILL BE REFUNDED AFTER AS-BUILT SURVEY HAS BEEN SUBMITTED AND APPROVED. INITIAL: APPLICANT pERMIT FEE SCHEDULE 520.50 GAMBONE&WENDY JOHNSON,JAMES STATE SURCHARGE(VALUATION) 17.50 1360 NORTH ARM DR TOTAL 538.00 MOLTND,MN 55364- OWNER GAMBONE&WENDY JOHNSON,JAMES 1360 NORTH ARM DR MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be r time r due use. o� y � i3 � � Applicant Pe ite ' n ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF ORONO j� BUILDING PERMIT APPLICATION �° �� FOR NEW STRUCTURES OR ADDITIONS ��O A'\ Mailing Address: Permit number: a0 I�J - D D 8 Z L �V PO Box 66 , Crystal Bay, MN 55323-0066 Date received: �'Zl- � , J, � ,], � �� StreefAddress:' Received by: � � ` V � 2750 Kelley Parkway Plan review fee: aD( �D6g7 � t � `-' I�� Orono, MN 55356 � 33�,33 �kf5H0 L Totai Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �d Q.J�. This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: j 3 �,C� /��...�-v� f(-r nn D,r�v� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [� No If yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: y� �2_��u J u 1-�n s�,. � -��►�L Ei c�►�.b4.� State License# Expiration Date: Phone: (cell) �I � �1'� �'��.� (office) y�� y`�-�- 3 �3 "�-�1 MailingAddress: �o �vr rf Cit : �K�,-Lo ZIP: .:��3L Contact Person: ��,,.a� �c,V�.n ss,�, Applicant is: Contractor / 011l@OWfI@f (Circle One) Email and/or Fax: �Q_�d�,, ; t�r��;',,.�--rscrC+�,�.,;►s�c. c7o+� PROPERTY OWNER INFORMATION: Name: �L�..��4,, J�h��d,r. �C �� w� Gct►.Kb..�,.,�_ Phone (day): �,1�.- } ��'�,� Address _ 1 3 �c� � rt�, i�rw. �r;� CitY: 'L`��p,.�� ZIP: �� 3��- �j }�� Email and/or Fax _�d�.��, !, Cv p-�„ --�r,E��,�-=�;',,�� •Cz�.,,� ARCHITECT/ENGtNEER INFORMATION: Name: M;k� T.��1�v� -' ��1�r ��s��...1 �r�C , Phone(daY)� q S a- - ��f(o - ��v-� Address: _°�a N �t � w a ao � s�- c�ty: Jc�4,-� ZIP: `5�3 �a Email and/or Fax: �w, .Lc�b �3 !,,�ti� d�f-t-;'��: G��.d c��i z�-. c o s�-, PROJECT INFORMATION: Descri tion of ro�ect: 1. Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal� Water Supply �New Construction �Single Family with �C Residence Addition attached garage�' ❑ Garage/Accessory Bldg. � Public Sewer ❑Accessory Building ❑ Single Family with ❑ Deck ❑ Relocation detached garage ❑ Office/Commercial ❑ Private Sewer ❑Other: (specify) ❑ Multiple Family/Condo ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may also require ❑ Commercial ❑ Other(specify) MCWD review&peRnits. ❑ Industrial (� Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 c Phone: 952-471-0590 ��`� '� �� °�"ti Fax: 952-471-0682 -�;, .»c,'s f•k-J I.v,we. . www.minnehahacreek.or Estimated Construction Vafuation (excluding land) $ 3S, oc=r% ``.'_ �� c��eE�� -fE��.t�T �� ' �Tf��t�E�E� � �,�D��`�C�� Ac�dresslP�rmit I�uml�er:__ � � � � ��''� De�criptEan ofi�►ork: �� . ��'� SeRtic revi�w by: �,T, �' D�te Approved: "' ' �t� Z o n i n g r e v i e w b y: L`�` D a t e A pprove d: � Building reviernr byc �- Date/�pprovedt I�' – ?c�t 3 Grac9in r�vi�w b • .r �— 9 Y• � �ate Approved: � 3! � Zoning DistcFct: �.� �:.� Zoning Ftie#: Reso#t Reso Date: � ��{.r . Zoni�sg:Lot�►rea: • � SF A� 1�'if�dth: Lot Coverage: Z�' � SF °lo �/ - -,� Survey Submitted: Q Yes � i�o Date of Survey: �� ` � f�evised date(?)• Fro osed Setbacks; - Front(Lake} Rear(St ( � S�� ) ( N S E ili� Other Buiidings . tMet�and S Side �%�` :'�� `�'� �` , . Defined Height: �`� P��k F6eight: FF�: FFE mtnus &feet=�(Exi�ting:Corctou � Perimet�r(Anear feet)_ . 50%= #of Stories Ok? 0 YES FOR A BUILDING IMITH A BA3EMENT OR CRAtML SPACBC- The distance between the iowest �OR A BUILDING.ON A 5LA9 FOUNDATION: START WITH proposed floor(of the basenlent or crawl space)and the highest poiirt of the roM. the tlistance betw�en the top of sl�tS ani START VfIITH the highest pqirrt of t�q roof. Ii you have a... • GABL�OR HIRPED Rf�yJF(no �You haYe a;.'. • dABL�OR HIRREb.ROOF.(no wf�dows): Subtracf.f►4�fthe N+indows):,Subtracttaalf�he�distan distance betwe�rthe hiphest poirrt between{fie highest prif�of the ro of the roof�o ttie 1ow poi'rt of the to tlae low rit of the corres SUBTRACTION corresp�pAding gable or hipped roof SUBTRACTION gabla or h pppd r�og�.�. Pondir ' (BASED ON ROO� . G/J,gIE OR HIPPE�ROOF(anri4h (BASED ON .. GA$I,�Oow�R�Pp�CJ 1�00F wdh �E� ��rjndaw9)� 5ubfradfialfthe : ROOFTYf'E) wintl ubfr'acthattriie�is�an� A`' tlistance betwe�n the top of the bet�n tfie top.af,the filghest ; highest window and the highes# .�Jindow arad the fiighe,st pqiM of ffi� � peint of the reot _. ; ; ,�,' roof '�� • ALL OTHER ROOF TYPES(flat, -' • ALL 07'HE#t ROOF TY�?�S(flat, �� mansard,etC):No s�btraction. � m nsard �tc:No s ' . AD151T_1,,�0D�'" d fh8 diStanCe n the top of slst S�btract fhe distanoe beeiwwaeFi the 0 , c�g grade adjas:eM 1 . . �SUB CT10N �� - � �3A��aD 1� and tho�i Eiest exisU ED ON IXISTING basem�it/crawl space floor and the TING the foundation. RAD�S) hiphest e�dsting grade adjacentlo the �{;qp� ; fcundation OR 10 feet(wtiichever is less). �.. EQUi41S Defined bWldirig height BQUALS nsd building helght � Shoreland District (iAC1MD Pecmit RecB�ve ' AVsra "e Lakeshore Setback Met? � �t�{� � Q Yes �] No N/A � ' G Yes Nc Yes G No G Yes G No N/A 'Permit Number.� . . � S�tbBck; Starn�water t�uaiity Existin� t�ra�osed Variance Required CUP R uired Overfa District Ti�r F�ar�cover Hardcover � � • �H a.. � Yes No Q Yes No � � �,_ . �; .� TYPe(S): Typ�(s): Updated: January 2013 { `'j. � ' • � v:\fortns�plan review checklist 2013.doac � � V ��€ � '' � RENCRRKS (in-house): Fees to be Cha ed � � #serm� � ., -: , . ,°. : Plan Review '��"E�utcfi�r� tnvestigation Fee ��'�'S�1C.:i�it�s:.` Uther(specify) S uare Foota e S r 3 uace Foota e Sasement X - � 1�Floor X _ $ 2nd Fioor X $ Garage X $ �stfrriated Construction Va1ue: � �'`� �� Orono tr�speations Required 1Kork Requiring Separate Permits Rezlu+red State Pennit� C[ Site- Q Plumbing fl Grading/Fliling G WeU C I Har dcover Remova l �Mechanicai Q Fire Electrical ,�'Footing t3 Septic .0 Water.Gonnection : ,�Poured Waq Cl Firepiacs G Sewer Connection Q Faundation Survey CI Masonry C2 Lawn lrrigation t] Radon Rock Bed � Mfg. ,�I'�raming Q Other(speci�) � lnsulatian ��As-Buitt Survey Final' Q Wetland Buffer � Other(specify) � REMARKS (in-house): Qther Review: Revi�weci by: Date Approved:. Access: Exis6ng: a YES 13 NO New: �f YES � [7 NO FfICtAL R�MARKS-TO B MOT a�t PERM' Al�lQ IM4TlALLE�3 '�'j � ��,��1 �; � -p f r�� , �l,l f� �O�f��.��E t�d '�- �.��1�(�.� • Updated: January 2013 v:lforms�plan review chedclist 2013.docx STRUCTURE INFORMATION: 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a. Length (ft.)= ��'�' Number of bedrooms= riJ�' �Wood/Frame b.Width (ft.)= 2�_ Number of garage stalls: W� ❑ Masonry Areas in spuare feet Attached= ❑ Metal ❑ Pole Bldg. c. Basement= 3 3 � Detached= [,� ICF C b��er�.�e;,,,�"� d. 1 S`Story = 3 :3 j�;, ❑On-site Prefab e.2`�Story= ❑Off-site Prefab f. '/2 Story = ❑Other(please specify): g.Total Area= �o}� REQUIRED SUBMITTALS: All of the information must be submitted in order for our ap lication to be processed: Not Enclosed A licable ❑ Permit A lication ❑ Pro osed Buildin Plans ❑ MN State Ener Code Calculations and Mechanical Code Re uirements Form ❑ Surve meetin all re uirements ❑ � , Stormwater Pollution Prevention Plan . � ❑ Hardcover Calculation s ❑ Se tic S stem Site Evaluation Re ort ❑ Access Permit ❑ ]� Wetland Buffer Im rovement Plan ❑ En ineered Plans for Retainin Walls 4 feet or above ❑ � Minnehaha Creek Watershed District Permit s ❑ Plan Review Fae � ❑ Application Escrow&Agreement ❑ Other: APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the comptetion of an as-built survey at the time the Certificate of Occupancy is requested, a femporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. C�. �`r �1��J� ApplicanYs Signature: � � Date: � Owner's Signature: � Date: `�/ � � �� 3 City of Orono • �o,�o Hardcover Calculation Worksheet Property Address: d . . ,�;; �� , ,!%i-;:�°b .�;'��'r',�'' �'��:,/",�f �°'"�'�!'��,. °1kF=��a�` Prepared by: ��, �,�� . , Date: + ,�, � ,�,� ,:�� w � ,��N� �.._.� � �.�� Stormwater Quality Overlay District Tier: (Circie one) Tier 1 Tier 2 ler 3 Tier 4 Tier 5 Step 2: PROPOSED HARDCOVER In the following table, identify all items of proposed hardcover on the property, keyed by letter to Certificate of Survey (survey must accompany this form)., Include all existing hardcover items that are intended to remain, as well as all proposed hardcover items that will be added. Use as many lines as necessary to accurately depict proposed hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75' setback line and calculate hardcover square footage separately for each ortion. Key to Hardcover Item(Describe) Length x Width Total Surve uare Feet Y, Exam le . :�Gara e , .`2�'.x 3Q` :• . .�. =720.&.F. : , . ; . ,. ; :. ..; , ,:. .: A �sr'�� s�.,�r :R� �,��,.. '�, �",i.�:��;. .r� . � �.,,� S.F. B ,�'�,.. �' a!��'��: �',�.' aF,,��;>,;-'r~� � "J �: S.F. �r� s 3 w.:`y i � r a�„ � '��, S.F. C ,��:�'��.. �-"� �..�s� � :e t��' ✓�r.. o� ,�s. .�S�,. :, D V�� Q / �i AY f�'i��A�s 2 S.F. E S.F. F S.F. G S.F. H S.F. � � S.F. � S.F. K S.F. � S.F. M S.F. N S.F. � S.F. P S.F. � S.F. R S.F. S S.F. T S.F. � S.F. � S.F. W S.F. X S.F. Y S.F. Z S.F. 1 Total Pro sed Hardcover �` S F. '.F•.XClildel�le�` i�dGiDi��1' �;GI R:Od�� 7�r1�. 4. . : . � , � .;` , , , ,� S.F. S.F. S.F. S.F. S.F. 2 Total Excludabie Hardcover S.F. 3 Net Pro osed Hardcover Subtract line 2 from line 1 S.F. 4 Total Lot Area �'�� • S.F. Proposed Hardcover Percerttage [(3)+(4)] /�.,� % Packet Last Updated: 04/19/2013 Page f5 of 23 RECEIVED SEP 2 4 2013 CITY OF ORON� City of Orono 4on�o Hardcover Calculation Worksheet t Property Address ,��- � f. 4 �. .,.il �.-'l:%�� .�L' :�. _.. �e' �w"F' � t� `�rFtHp0. Prepared by: , � Date: � °'�'� «+f"°"..� a�x,(! }��:�y;, � � '' 9.... � Stormwater Quality Overlay District Tier: (Circle one) Tier 1 Tier 2 ier 3 Tler 4 T1er 5 Step 1: EXISTING HARDCOVER In the foltowing table identify�I items of existing hardcover on the properry, keyed by letter to Certificate of Survey (survey must accompany this form). Use as many lines as necessary to accurately depict existing hardcover status of the property. For Tier 1 properties, identify any features by letter which are split at the 75'setback line and calculate hardcover square footage separately for each portion. Key to Hardcover Item(Describe) Length x Width Totel Surve S uare Feet (Eic�ampl (�jar�Qe);-' , (24'x 3Q') � (��^Q S,F.) ; 8 ,. .. `x . . �. ,.. .. . , .. A ��ra,,�, � '�..� rc, t`� ��' G% S.F.. B ��,�.��' �A�:��.,;�. .�°�;��:� • �r�M:� S.F. C -°�"""/�,�.��,,;� ��s` 2 S.F. p S.F. E S.F. F S.F. G S.F. H S.F. � S.F. � S.F. K S.F. � S.F. M S.F. N S.F. � S.F. p S.F. Q S.F. R S.F. S S.F. T S.F. � S.F. V S.F. w S.F. X S.F. Y S.F. Z S.F. 1 Total Existin Hardcover ' S.F. .F•,XC�41L�� 5��1'dQ '1(@t`. $�';�'�r� ��8t� .•�`�a��._' F.'' ,,,', S.F. S.F. S.F. S.F. S.F. 2 Total Excludable Hardcover S.F. 3 Net Existin Hardcover Subtract Ifne 2 from line 1 S.F. 4 Totat Lot Area ' �. S.F. Existing Hardcover Percentage [(3)+(4)] ��' � °� (Proposed Hardcover.next pagej PeCket Last UpdatBd: 04/1 A/2013 Page 14of23 �CCc'"C� G G� V G SEP 2 4 2013 CITY OF ORONO � 1 I � '� �• �� r�. �� _. « ;�— i IL�J l� is I I ,{ ; � � ,�'� � '!i� �� - �_ � � �,� o�� 'I�'I��, m _ _ �� i illlll�lll � i�� r I °�rn I`� 1 �i � £'� �� ;: , �� , � �� 1 lij i �P �� o� �—� � _ � `m � � �� h .._J <_ � � ti e � !� ` j�� 4q °' I �j ; .J � i' � �� ,,, � �: J :� i - -. , — r�� ,,i ��;,i, � � � �i�i 1_ '� �� 'iii _-�---- I I I oa I � ° ________.�_._�� I �� ' �� i � � i �-� I',��I� ��, � g ! � 'I ; I� Ij�l ° 0 � � � � ��,„ � � i � I il,l$ I''� ��,I I I � � u ' i � � ._p � ..,,� I .-,�. � _---—�;----# — l � �I� Q�� ;� ,I�;� e� � 4� � a;� :� � � I1 � � � �....�� ,�, _ _ i �II JOHNSONGAMBOSGN��DINON �,��1f1J1.I�S j � M6 � 1 � �I�A�K�If�+c�fKA ��.__......_. _. —_ _— \_—_ . ......._-___-_-- ........_. � ,.,.��Ps9fwanl[�w.��a.e�e+.a�u�da.s�m�v � . L� 4� � ,� ,�� :� � � _- �� '� � � �� I I� I I - §rn � t � � �� : � �� r , � � �; � ! - -� --� -I �� I, °� � I � , I �� I � I s � l I � I � I � � �� - � � I � � � I � � I � � I � � I II II I I � I 1 I � � ; , `" I $ i I 'N I :a ' 4rn � � � ��` � � � � �'� �� ; � � � � g � � I I � I , � � I s i °' i r '� I � —;- I �� I I � I� I a� I �� I I �� ; I � � � � � � �� a�l� �� _GUSTOM DE51GN FOR.... �� Rp � Q..�� .JOHN50N�GAMBOHEADDmON �BfIfIINimOESliNt�c ! 1360 CO.ROAD 151 ORONO.MN /�s ... � y � La..•u.�n. .�•.q•.— anR�ar�mlHltOSA� QL(I�MY0�6IYL�r iu •� � to §� s a �� e,A • �� t� t4��ea� 4� � � '�� ' � �� a� �� n va rt O C7 ' � $li � 8 f�[p i�ai cggg �Q ��3� �p�`�g(� g 4. E d� A3�i � ,� ;�8 A{�R��i �E �g � t 2 }� � �� i�t � Rt � � i �� d$ %f Q e �t L�� ef �� C f R� �F �p i d� y I �� ..�m ��E6 � � � �R �ia�e� �� 2; a – -------- '^eo– ----–---–- .; � ;; ;� ��'4; — – ��: � � � �' � � ;; d c � oi 3� � �� '� � �� i I�s S i..i � p� 4 � � �$ �a � � a �E � € � �! !�� p �E � — ---�— ' I at�ai ° ��'� � d � �—� �•�d i- i � -------------------i �' g ""`�'=�� R i � � i � i: i ` � � I I � 9 � f I �' ___ _--_zr^2v J '.� / I I O / i ______ _____ _ � I �I I I yy � I I I I if 1 � � �8 � � � % I � � � � I � I I I 1 I ��p+ GUSTOM DE51GN FOR.... �� =1 Q"w"�.�.°�'^""' ..1�1N� �/GAMBONE ADD�TION �BlIfI1Nf�OfSIfM��[ /�� 13G0 GO.ROhD 181 ORONO.MN �� L�..u�.�n..�...�..�s..— .a11�1�i1�almlMt(P�Htm1 O�p.q n,ei I6hM:e�.d�mn \ \ ` rx�u� '� � N N ` � ct ` i < � � J � � _.� � � � "" ....�, s,,.p. � �_. � � � �� ,� � ; ,;� I� �" I � . �!e p ! n��ti,'�"s�,�i' J � a,.,. ....s ��II�I�'�.. ; I��I��I � � �� ,�� . __ __ _. , _�—==� � �.w y __ y,� +---i,=�_ �� I p ilc ,�T_ - o.,.a. , �� E�� t '. � I ' � :� '�� ° �� d� & � 4 ° `u.iC � ' � � �°� g 3 � ' , ° � n�� lF�� P ' a al� �" � -� a v � ,.. ; ,,.a u : ,., � o ,_— _ --_— — __ R' ! �i z - ,� � s ��g � --_ -- _ . : . : � � ' � C '', �� t[a .s� a a� la S �� ,�` �I�I��i�,� ��qs,"� v i l�� ` � � p� -- �� w o =-- '... �-- __. _ GU�TOM DE51GN FOR.... (p�1 � g � � ,°", � JOHN50N/GAMBONE ADDITION � ��Q��uU I 1360 GO.ROAD 151 ORONO,MN � o G IIN6 wOESIfN��[ 5 Z. � j L�..�i �..i.,s. I I .�r ��.— � � .......,... / I ` m�WW��unl�[�u��,r�,�-m�,� . � ...,. � , ..a. �. .. _. .... ��_ �' _ . . .. .... _.__. __—i I •., _ _—_._..__. _ J-�- �.� 4"i!M'SR+-+ r� ". xcT.'-a Minnesota State Energy Code Calculations and Mechanical Code Re uirements Form r�;;�. Additional copies can be found by going to: htt ://www.dli.mn. ov/CCLD/PDF/sbc i322 cert. d s��-� �I1101.8 Cerdficate / suild�r��Am��Co��.- Date: �/ �3 �1 3 Site Address: � 3�v ivo,r�'h �r�,-. D r��v� ��, � � Contractor IVame: ��v� ��, . � h� License Number: Lacation Type of Insta//ed Tj�pe Location Size Insu/atia�n R-Va/ue Maiceu Ai� Roof Ceili Combus�on tir '�- „��c � �1 Walls 113 �. Water Heati Slab-on-Grade Planufactr�rer l�l�aote/ Floor Duds Outside of Co�itio�ed N Rim Joist D lrnefio�.E�ior or irroey�d Locatiivn R-Va/ue Foundation WaH F Int�ior.ExOerior o�ItiOegi a1 Avera e U-Factor SHGC so✓ar heat in coefRcie�nt Passive Active Fenestratio� ` S Radon Control T IR ut Rati AFUE Manufacturer Mode,� Ca/cu/at+ealHeat Loss Heati 5 stem � . _ ' '-� � 4S(� 5 X `i ou� T �ut ut Rati SEER Manufatturer /`f�odel Cao/i Load Neat Gain Cooli 5 stem E e� ` - � � �3 U i f?1 3 cx�u T Location Contin�o�us Venti/atiaon Tota/Venti/ation Mechanical Ventilation �l1 �,' Packet Last Updated: 04/19/2013 Page 19 of 23 DATA PRIVACY ADVISORY In accordance with Minnesota State Statute 13.04 Rights of Subjects of Data, Subd. 2, "Tennessen warning", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or confidential informafion. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under Minnesota State Statute 13.04 (see following page) to review private data on yourself. 6. Your full name is required to process this application or permit. V V e�P CJ�7s �� ..� �n h sa„� First Mi dle Last � 3 � /V o v'`� /�',r w, c�✓��_ Address �� M�1 �3�`�-�1�1 9SZ-�f�-Z-3��-1 Ciry State Zip Phone I understand my rights as stated above. Signature Packet Last Updated: 04/19/2013 Page 20 of 23 , . . ' EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS � CONTRACTOR DATE . PHONE � ' � � `� ' Determine working square footage of each. 1.� _Total exposed wal l area . . . .. _ r � � ,� sq. ft. x • it = �- � ; � 2. Total roof/cei 1 i ng area . . . .. �� , U sq. ft. x- .02e= 2 Tota] exposed wa11 area above f7oor = � � � ' a. Tota1 wall window area. . . .. . . . . ... . .. . .. . . . . .. . . . � b. Total door area � , .. , , . ,� ,-_ , , ,, ., . ., , d�4 � � c. Total sliding g7ass�door�area . . . . . ... . - d. Total fireplace wa11 area. . �� e. Total wall framing area (average�lOp). . .: .. � � � � � - � f. Total .net wall area above f1oor . . . . . . . . . . . . . .. . . !l -j, -�, . g: Tota�l r:i m j o.i st area . .. . . .: ... . . . : . . . . . . . . . . . . . . �.�� ,-, . Total exposed foundation area = �'� �� . Tota7 foundat�;.n wiru�w area. . . . . . --,� - i. Toal net foundation area above grade . . . . . . . . . . . . �, . �=� � ��__ . ... _. .. . , r Determine "U" value of each wall segment. a. �2�� X �� _ �� b. ( ��i C? X �� _ �_ . c. --{-�- X �� _� _ �.. . d. ,,,�.- X �� _ _ -� . e•_ fi� f� �� X �� _ �,. � ..!_ i f- l�� Z. X „�„ � D� _ , , � 9, 30�� D X „�„ , o = �I � � . n. -�- X „�„ -� _ -�- 1 •_ �brb X "U° i � D = �� D 3. . . . . . . . : . . .. . . . . . . . . .. . .. . . . . . . . . .. .Total = If item T3 is the same as, or less than item #] , you have met the intent of SBC 6006(c)2. ' , .' . Total exposed roof/ceiling area = 9�(D� � j. Total skylight area. .. . . . . . . . . . . . . . .. . .. . . -� k. Total roof/ceiling framing area (average 10�) . . , ��, (o 1 . Total net insulated roof/ceiling area. .. .. .. . . . .��,� . Determine "U" value for each roof/ceiling segment. j. -.�— X �� _ �- . k• ��c � X �� _ � � : � . _ �'?�L� X „�„ . _� b7� _ . . 4. . . . . . . . . . . . . . .. .. . . .. . . . . . . . .Total = � If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. . Alternate Building Envelope Design � - . .. � To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items �1 and #2. 1. + 2. _ 3, + 4. _ � - , �.' -��- ,� - �; . . . _ . � � • . . Wall Framing Soc t i on : R V_ . �j � ; . � . ;: �' , . i 1 Intorior air f'ilm 0.68 • � • „ 2 ' �" ,W� b. .45 � ' i _ +_� 3 � ' inchos soft wood � : -----�4 � 2' rr�E�. �-i. �. � � t .2� � _ � - .� 5 i' rrs c.�c�. s� c�� i• 2$ � I� 6 Exterior nir flim �. 17 • '� .. , n', . :;�:.� . .� , TOTAL R = �O. � '� � "' � � u - � /R - • Oq ..�, _ �j��.1" . . � ,.;',- ... . � ' '' Wall �SAc�tion (Tnaulated) '� � �—�r' 1 TntArior qir f lm O.bB ' ' �� . � " �. 2 . w. P.�. � �;45 3 � ' ��.� �u�, �9,00 ' � 2��G 1d� �r�� '� � '�, .� } � 5 � �_�L't►�1�� 1•2� . � i, � :�.- '�' +� 6 'xtor or air 1'ilm 0. 17 _ . . ��:, . '-: SI . . - . ;�• �:,:,.:. _ TOTAL R = 22. '7 •�1••`, '�",�t `' f.i�. ', ' ' ;.:i:" • • • ' U = � � - . O • ;�; .. '' � ...,.,�''�:::�•'• : �: , _ ._ _. . ' �' � +� 1 • • . :.Y . , �;.,w�. � ��.::� � . - ' ' G`'+ � � ;� �:•� iby(t ti Y' • ' ._ .. . • ;'. • :• �,�. •�. �••:�' • !'.+�p•.� • ' � _ . r,. . ..�: �.' ��;' ��'�.' ' ; .} . , f!.Ji:i�=�y� . . .�_ - _ _ .- _ --_: ' . ._ - - - _ . . . .�i� \ . t' . 1 1' �J:S�� - - . .. .�..- . . .. _.. . . ... ..�- '-. . _.. . �� I 1 r •� ' .�. ly!.�'• -. , . . . . . _ - _ . . ,� �J . � '^ ��;+ : ' Rim �Joiai 5ection: ' ��= . : . . - ;':�'�� _,� �, � 1 IntArior air film �.68• . .. •�' ;,';ir� � � � 2 � � �1��4+�-. tGt,o� . _, ? _ ,3 � . ;�,:,t:r: � , � � �,;_;;r. - I_�' �(}• �� . D�. �� 1, 22 . ' ��: .�H ' "` 5 1'' 2S C��c� t.2 S , • . :�.�Y;.t.� y i 6 E:c�oricr air i'ilm D. 1't - . . ..'t.. .�.. I •y.'l: ,. .. - • • :f•��`:. ''•- . --___.. : . . _ . i O t.U 1 h = � '• .�.,. . ��I �• .'�� .: :� -• . ' - l.i = � � _ _ � � ',; : :�' -� . _ .. •:� �..� . • � • .� . ,` Fou�dation S�ction : � •, , . , , 1 Interior uir f; lm 0�66 � CZ-'1 F Gc. t FJ�.t-� i 3�o '1- � , , � ` .:' / . i 3 �� . �� 1� �� ' � � 4 ��!•• 'xt:Cfl'lOI' nir f�im O, . ; . � . 5 2' � .w, �. .4s S� � �/ � �� E � . .� �6 .._ _ y ;`; .• j �% .•��5'� T TAI. H _ . � � �� , Ja u � /� . 10 J_ ' � ��.' . ' . .�,_ �� ,.:�. ; < �cui �w�.�.�..�rrrk. fL - �2.�3 ,�' . . ..�..��.-�- : . . N - �/tL - . 4� �.; � . __ � , � � . . • �,�`_-' � . Slab �n G:�ado � . , _ . , � - '�► � � . � : . • . '�:� .:. :.-`"" ' , - a � . . . � . . a . . , , /� . ' :' • • � . . � `� .•!. 7� � ,L �` T � _�f� r • ' , • �� ,;� • �'�� • . � . � I � �� 1►:� I':,; � J • •� •� � � � � . . , . . . . �:.: �I / r��r , , , ;?� -� _ • - � //f � . � . 4. �. •. , . ��. . . ,,� - . . . ; .� • o � , . . �. ,. , ; 'r. , . . ' . �• . .� i i � .Q � . :�i°, l•. � r., ,__ ;'.• . , . - �v - � yC o .i -� ' � .`, �� ; , ,'�,` 1 /. . E�', • • -. i . i•,' - = •• �1�;� . . , , , ,. . • � . . •.• . . . . • . Li. �� •:.-�'./ i. . • .�. ,• , - , / ;L . � • ,. CEILIi�G SECTION (ItiSULA:i:n) : : ' '�� ' 1 Interior nir fi]m 0.61 f - . 3 4 , .� 2 �/g" G,w. �. .5� ► / '�`� . . - . 3 �-� P.�I.��V►.J - �.C� • 4 Exterior air film _ . � . • - . - - . . � 1 , � � � . , � � cstil l ) �.b] , . � , ; •"; TOTAL R = 4�� "� . . .' U = 1/R = _�O�O ' ,' + � 2 .�.. 5 .. :� CEILING FRJIMING �RC'1'70N: .- AIR j VFNTED , �:.� �� , �', 1 Interior air• f i.lm �„�1 FLOW � . . • . ,'. :. . , . ., . , _�_--_ ---- �. � �. 2 �:3 G•�. � .5l0 : .•�: �' .� '� . . • 3•: 12'� �..,oc,�►..� �,e� • _ _. _ . . .,.��,, . . . - . -- —�. � � r"�� ' • 4 � Interior air film � - � -� . • •,.� . , - . :,' . . . _' ' (stiil) �.61 . . . . �.� : . ' . -. ._ :.. : - _:. _ ;:�� 'r,��,;::. .' " 5 3��2N inches soft wood t� � . i; , �_; , •'; - - _-- - -- •;;is•;.•. -:� .. ,�'.t4 e . . _ �`, _ . .. . - - . . ---- � r�• r�.•,:; .. , , ,, TOTAL R '�9 y(�(p - . . .. • . :.��,..,.-,., � � �: _ . � . '. . . -� �� '� � _.. _ :;.�y�.•.,i. , ,.}..51 .. . . .�:;;.: . _.., , �. , •,. . ._ u = 1�R = . a"Lt�- _ . . i, . � _ • ��trrG�. -�' �. .•-!: . . _ . _ . '�' . _ . " :`.�;� � .� .•' CEILING SECTION (INSULJITED)� :� � �, . _ ' ' • �•�� . 1 Interior air f i lm O.bl.-� „ :,:., , , . �.,.. ..1� �� ` 1 .�• �:„' . i �i � _ � I � :.., . : 2 �'L C--�,w, � •".Ae � . \ ��, �� .t � � :L;;�• 3 �2.�� 3 !x�, _ � ��. F,U, �CT g� ;'. - . � . � . 4 Exterior air film . ,;.,,�:.;.;• . . . . � ' ,��•�, . . . • ' (s t i 1] ) 0.6] v�NTrD �, ��•�; ,. ---_ � � „ � , � Tn�AL R - � ,�Q . 1 � 3 � S �,:. � ' .; � t, = �;R = . o . , ' '. �. ;�� r��. CEILING i•R�IMING �F;C'TION : � � � '�'� ` � ` ' '�` 1 In�erio: �ir f� lm 0.61 . . ,.; �r. , ��' . . — — :� �.� ' �� '� '';"" � . � 2 ��2�,W �1S� t�5 ;�� . 3 ��'� 4 . 5 �� 3 r U. � � � � � . � 4 Exterior air film � . . � (still) 0 .61 �,� �. - 5 11�JZ inches sof t w�od ��'�$ . 1'' ij„vQr`r'�� i�2 � � TOTAL F = � " � �..I �4• �j J � ' . �r f . U � �/r` � � \ .✓ � • �` . S �� • , ^�'�, . - ,,^� 1 Insidc air fi]m , 0 . 61 ,� �, 2 . — -' � i ---� � '' ' 3 / /� z 4 -. � . 5 Outside air film 0. 61 " TOTAL R = , �� - (�,� �+ _ 1=- _ � - ;'. �%. T -�f-��--� - - ._ Z� yc 7� I� 8 r — � � ' y _ ��-.�-�� ` �� , �. �'t T' _' � � .� - °� .�� , � ?�a _ � � �� `� �� = �� 2* _ -�---�. _ � - � 32�3► - . _ v _ , � �,,,�/, 6 _ k ��. � � � e - �=r�-� _ � � o a = o - _ ` ° ` � 1-� l�� ' d __ � �'�- _ . . 2� �� - �� = �7.�r�� j�j ,��Q�= ZZ1,� � , 2� 1� 1 � �ID� ` 1 - .�_ , ��'� - � _ 0 -F '� �' �C �2'` � .� ,0� - — � x,, , �. �� . � . � �` � I I _ - - ,.��' ��.~'---,� � 1��7�' � '� _p � "_ _ 9,�,o . ---- . --- — ; � — �T�'C� �G�l��r�"��$ �" _ , . �. _ � � __ � � �[ �� x �� _ _ , . � ' . EXTERIOft ENVELOPE ENERGY CODE COMPUTATION WORKSHEET To Determine C.ar�liance with the Minnesota E�ergy Code � (Section 502 of the State Amended 1983 Model Enerc�y Code) ?roject Title �.X��v�s� /E a r,��m�. �m� �ite Address i�� -�� aY � �r'. I. EXPOSED WALL CALCULATIONS AF2F�� "i1" VI�I�i]E ARF� x "U„ A. Opaque Wall l. Maso /Concrete a. �,'�/ X = b. x = c. x = 2. Foundatirn Wall (Above Grade) a. -� � _ ' _ 3. bti�ood �Frame Wa].l -^--_=�- ' . X —U�— _ a. Insulated Area � ` � ' x '.= o�' = 7`1. i" � � � ��;� b. Framing Area (Ave. 15� at 16" oc) �� .� z Z 1, �.�, x �� _ �..o c. Framing Area (Ave. IO$ a+: 24" oc) x = � 4. Peripheral Floor Edge/Rim :,oist a. � ��_Ly.� x =U`� � _ __t Z. Z.. b. x = B. Glazing I. Windaas , a. /� i _�L`� x � �.5 L� = gC`, � b. x = 2. Doors �� _ x _ ��--� _ �.i ; u._ _ C. Doors 1. ti�lood � a. Solid X = b. With storm dcor X = 2. N�tal x = 3. Overhead X = 4. Other �� v� �, � n�_�: 2 !�-t_c r3 (3� ��' _ X � ' _ �'�r -- 0 - D. TOTAL WAI�, ARFA, sq. f t.. . .. .. .. ....... . . ... � Z c( �{(��`fi 2�j�I. �l ... � �` E. Z�L of ARF�A x "U". ....... . .. . . .. .... . . .....: .��.. ... . . . ... ... .. . __ �. ROOF/CIILING CALCULATIONS A. Roof/Ceiling Insulated Area �� _ x , �"� _ B. Roof/Ceiling Framing (Ave. 15$ at 16" oc) IG� .�� x :D`�I „� _ �>� C. Roof/Ceiling Framing (Ave. 10� at 24" oc) x = D. Skylight X = E. 'I'OZ'AL RfJOF/CEILII� P,F2E'A sq. ft. . ... . .. . . . ... G, 2�-� .� . ,j�l '� F, �L C�' ARF1� x "IJ" . . . . . .. . . . . . . .. .. . . . . . . .. . . . . . ... . . . . . . . . . . . ... . . . �� 10 • ' _ � . III. BUILDING ENVELOPE REGZUIR.EMENTS �AL p,RF,,a, R�QLJIFtID �'tJ" ALLOWABLE (Frc�t I.D & II.E) (From V.) (Area x "U") 3�3 b. 33y.c� A. Exposed Wall: x I I = Z `'-�-�-. B. Rc�of/Ce iling: x .✓v z � _ �� `�'=`-�-T � �,o zs.y C. 2�0'I�L ALI�Ofn�BLE BUILDIlQG IIVVE?APE (Total of A & B above) .. . � 3_;l;� IV. ACTUAL BUILDING ENYELOPE ACTUAL (Area x "U") �yy.`1 � � A. E�osed Wall (From I.E) ��e B. �of/Ceiling (From II.F) �- �� C. TOTAL ACTi7AL BUII.DIl� IIVVE�,OPE (Total of A & B) . . .... . .. ... �- Z�=y, b *(Meets code requirements if less than III.C) V. REAUIRED "UR VALUES � V�,I,I� ROOF/CEILING Detached or� ar�d tT.,� family c�w�ellings .1I .026 * Multi-Family Residential Buildings .238 .033 (3 stories or less in height) * A11 Other Construction 7.�ipes (3 stories or less) .238 .06 * All Other Constzuctiaz Types (More than 3 stories) .28 .06 * Based on 8007 heating degree days (Mpls/St. Paui) Adjust 'U" values accordingly for other locations CERTIFICATION I hereby certify that I have cca�pleted the abave information and that it ccxr�Iies.with the Minnesota State Energy Code. ��/� �-/� Z Signature Date TT � 11 ECSD 3-89 � CC/Sn'!/6574 � �J - � �`�- `� CITY OF ORONO CALLED IN �/ DA��/3 TIME _� INSPECTION�i�,ICZE /� Q SCHEDULED //-�?7-�-3 �'?�_ PERMIT NO. v��-7 ov 4 �/COMPLEfED �� h ADDRESS / �J �D �• C�,�i'�'Y� �_ OWNER �^ TELEPHONE NO�:�'��7�� CONTRACTOR � . , � DESCRIPTION � ��'� � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � �� O � W � Q � 2 W � W � j d W� ��M1IORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlConVacto it Inspector. White Copy/lnspector's File Canary CopylSite Notice � C� DATE TIME �/ CITY OF ORONO CALLED IN �L I� INSPECTION NOTICE SCHEDULED / � � �� PERMITNO. Z�(%�� "C�P�7� COMPLETED ADDRESS � � . �/'�'� I �- ' OWNER � ' � fC�SGY_jfELEPHONE NO. ' CONTRACTOR _ ' �� l � �'c�ZZZ � DESCRIPTION ��Z- � (� `C� ��''1 ��f - � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER FiEMOVAL J � PLUM8ING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACT� OR TO MEET YOU: YES_NO c�., COMMENTS: a W � � J O � � O � W � Q � 2 W � W � � J d ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORR T WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. l �� White Copyllnspector's File Canary CopylSite Notice (� DATE—� TIME ✓ CITY OF ORON CALLED IN �� INSPECTION N TIC��g��SCHEDULED l��3 � PERMIT NO. ' co L ED ADDRESS � � - �' OWNER ONE NO�=��i 7�Z"�J��i CONTRACTOR � DESCRIPTION � � ❑ FOOTING PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�i, COMMENTS: � W a j � � �� ° � � 0 � W 2 Q � 2 W � W � j d W� �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnedConUactor on sit ; Inspector. White Copyllnspector's File Canary CopyfSfte Notice � — � � DATE TIME V CITY OF ORONO CALLED IN �I-Z,l INSPECTION NOTICE SCHEDULED /�?,,3-� � � PERMIT NO. r��?�-LSDS�7I COMPL ED ADDRESS /V_ Y�G �� OWNER � LEPHONE NC�2��7`'�7�''�7�� CONTRACTOR �� DESCRIPTION �� Q'�C�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVA� � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C � J O � � O � W � Q � 2 W � W � J � �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site• Inspector. White Copyflnspector's File Canary CopylSite Notice <. � DATE TIME v CITY OF ORONO CALLED IN l� INSPECTION NOTJICE SCHEDULED �— PERMIT NO.�D�7 ��7I COMPLETED ADDRESS �3�� ,/f�O7"�`v� ��I �'r OWNER PHONE NO.�O�Z�O��S�"7-� CONTRACTOR >; DESCRIPTION ��- � � ❑ FOOTING ❑ PLUMBIN NAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP � COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � r� ��(��ci I n. `��7 � 5 d�'�.S 0 � -- O CJ'�-/n � ° � 0 / w � � Q z �'� -�� d W � W � � � d W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHiN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor an site: Inspector. _ White Copyllnspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN ��-Z�-� INSPECTION NOTICE SCHEDULED /4" /�%� PERMIT NO.ao�3 ��7� COMPLETED ADDRESS �3�0 /�4�'��' �'rm 4DiY� OWNER /-Lk-°�c1✓�� TELEPHONE NO. ��2"'8�� '�ZZZ CONTRACTOR � DESCRIPTION �l/'�Q.C — ��eC. � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � y COMMENTS: a�i3—� /�iZ �GJPclr �tirtc�" G�'a'G � ��a�e� � c��c.re G'.66,5 � G � 0 � � 0 � W � Q � C W \ � W � � � � d W RKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑I UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 2 -460� OwnerlContractor on site: Inspector. White CopyllnspectoPs File Canary CopylSite N tice The Gregory Group ORONO COPY INVOICE NO. 81834 d.b.a. 1068-70 F.B.NO. LOT SURVEYS COMPI�NY, INC. SCALE: 1�� = 30� Established in 1962 L�� 1 m�� • Denotes Found Iron Monument V 1\ O Denotes Iron Monument REGISTERED UNDER THE LAWS OF STATE UF MINNESOTA x000.0 Denotes Existing Elevation 7601 73rd Avenue North (763)560-3093 Minneapolis,Minnesota�5428 Fax No.560-3522 _----------- Denotes Existing Contour �u r u P��-r� (�P r�i f i.r tt Z� '��!Denotes Proposed Contour EXISTING GONDITIONS � SITE PLAN SURVEY FOR: 000.0 Denotes Proposed Elevation Bas�s for WENDY 70HNSON & JIlV1 GAMBONE bearings is Property located in Section 7,Township 117,Range 23, assumed Hennepin County,Minnesota. I Property Address: 1360 North Arm Drive,Orono,MN 55364 � � � PID No.07-117-23-41-0085 . � I , � I I ,� - ' � � '� I e5.5 � � E�sting Hardcover Proposed Hardcover � � � 3 i i g � Residence=2050 sq.R Resideace=2050 sq.ft �j�6 I `S 68 0 � 9 Porcb&deck areas=176 sq.R Prop.Addition=336 sq.ft � ' � " `ha��x�46„ �g Gra vel Dri veway=2549 sq.R Porc�i&deck areas=176 sq.R � � "�e x� F ��r S � Total Hardcover=4775 sq.R Gravel Driveway=2549 sq.tt � �7 � 3, ' / 0 � Area ofParcel-35263 sq.R Total Hardcover Slll sq.R V�� "3 _ _ _ _ _ _ `�Percentage ofHardcover=13.5% Area ofParcel=35263 sq.f� � , �� Pe�entage ofHardcover=14.5% � - /W . m 82./ ^ -- --- � � � Note:Not all trees located. a O t�=- � 9�� o� �j�� c � _�S'' � � � , / �, � M Lot Area=35263 sq.ft N � W W , J II``a, ,c98U.3 � `p� - _ � > > p 3c ` � '� MN �0� / � ' pQ� ` U e.. 01 � Q n. Z � 3� � �V � � � U � .� � �i o , � '� , 9�9. S �6°3��p�„F 5- - - - - - �� 0 � � � 5"t'ree �ha�n/�nk �•�� 980.5 fenc i � I � 980.� I� l 4"tree e 978.9 �j I � 79 5 EXISTING ELEVATIONS I� �I \ �� PROPOSED � 986.4 First Floor � ' ` - � l 6 oa /�SILT FENCP „v � �I � o a�o`o/C -- -- - - -_ � 985.2 Top of Block ' 8"Cree a ' � ' tq 3 983.2 8i. lO"tree � m 977•6 Basement Floor(from house plans) 983.8 r°„ � 980.5 I TOP OP EGRESS "� ^ 3 x 983.8 g T _ WELL =98/.5 � � 24� 7'ta_e�...=--i� � Proposed Lookout Grade = 980.4 � . �� 3 a �proposed� � � 2-St Frame� I � - - - - - - - °oak � '"�dd�llfJi7- s WO�d/an�in9 I � � No. 1350 � l 982.9' �984� cha�link fence � r.,f I �7.�___ I _ � ,,,.�� 40.2 � ,x x--x�x-�x-`X i 985.2 / x-x--�x-X-y�G�f.4 r"•.r�„ � 1 g82.7 3 x 11.0 1. d � 2-J`�"t FI"d177e � � � i 979. �s � N N �.9 No. l 36'O N � ,� ` % l-5t Frame . 2 , � � \ ^ � � 1 I - � � to� � � � � No. l 368 � i� N �75.5 � 985.2 � � � _�� 986.4 N or 24.2 984•3 " 1 � 1 6`f'8- 84.5 yar flr 3G,2 L�� '` � !`��"--�_ \ � \ \ � � __I �c4� \\11.5 ri � 12.2� 984,8 � \ � � 978.I ` �Power Pol� � � �10.4 , % � _ � � � � 984�1 Po�ch � , � � �cso � ' � - " � ; - \ 978 , - - - �� - _ ' - ' \, - � - \ - - - - � � � - - - - - "- - -�well stubout � - - - - � � � � � - _ _ - - � 962.l - - \ � � \ - 978 _ _ _ ' - - - - - - - - - - _ �/ , , - - - - - , ` \ , �� '97E � - - _ _ _ _ - - - - - � - / �- ', _ , � - - - - - - - � �_ - - - - , �\� 974 _ _ - _ _ _ - - _ ��m� _ _ _ _ _ _ - - - - , �' / - - - - _ _ , � �r�r-o� o��o , o , , , - - -- - - - � ,970 �,\ ,9?2 - - _ � - - _ �v,� � ' lp - � - - - c�`� - - - - - - , o , SITE PLAN � G�ADING Pl.AN - - _ \ \ _ - - � _ � �' �i°�'I�ROVED , --- - - � �- - _ _ � C� APPROVED CAIiT REV)S�IONS -' _____ 4 � - 9�-8 _ � � , � O DI OVE , ' \ - - - , - � �_ _ � , \ � � , , �Y� �� , ` , � \ -___ � � _ , � -�- 9 __ __ , \ DATE � , 964. -- - ; - \ � � _ 6�- � � 964.I �� - - - � ��raina '- __ - � � ` - , � _ - - - - ��N78°16'Zg„ Ut��it��s _ _ , - , 96q ower��e, 14 $p�"�►► ement Z --W--W--v+--W-W-- �u ��o�U�-w�W�µ� _ � G��j / °�w � - - - ' 963.1 � 963. W---�v�W p�erh � l �� '- ead wir � -�l S RECEIVED ed W w�� / � '-- � �/e�/� e ,` , 9 of(,�tuminous W_" -w� i (Co�nty Ro ^� D `/✓� 962.5 W�W�w�W_ nI '�- r., r� .._�. ad,�O. / �.`..a� \, L. L L i� 5�J CITY OF ORONO The only easements shown are from plats of record or information provided by client. I.,Ot 3, B�OCk 1, VOLK JOHNS�r�N A�DITI�N, I certify tMat this plan,specification,or report was prepared by me or Hennepin County, MtriTleSOta. under my direct supervision and that I am a duly Licensed land Surveyor under the laws of the State of Minnesota Surveyed this h day of September 2013. Rev I 0-2-20 I 3 silt fence, ro osed contours �rawn ey ��,�,,,E �=-/ `,� Signed __ _ -_-_-- File Name Vj-3-1fb106870inv81834.dwg e o R. Prasch,Minn.Reg.No.24992 l '��; 1��,�t`i �1►� �'. 2��13 -��7�- , � . • , • . • • � • . emo To: Finance Department . .� . From: Christine Mattson, Planning Assistant CC: Street File Date: July 28, 2014 Ca/L: 101-22205 Re: Escrow Refund Bldg Permit#2013-00871 / 1360 North Arm Drive Building Permit Application #2013-00871 pertaining to 1360 North Arm Drive is complete. Please refund$2,500 to the applicant,Wendy Johnson 8�James Gambone. The following is attached: • Original signed escrow agreement • Copy of cash register receipt showing escrow amount received Mail to: Wendy Johnson &James Gambone 1360 North Arm Drive Mound, MN 55364 w:�.street files�north arm dr11360�escrow refund memo 2013-00871.doac BUILDING PERMIT ESCROW AGREEMENT Orono Building Permit#2013-00872 AGREEMENT made this��day of , 20� by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")Wendy John� n 8�Jim Gambone("Owners"). Recitals 1. A building permit application has been filed for an addition to the principal structure located at 1360 3 North Arm Driv the ("Subject Property"), legally described as �- . , Hennepin County Minnesota. /k�A.c �V�'" 2. Owners request the City to review this application. 3. The City will commence its review of the application and incur costs associated with said review only if the Owner establishes an escrow to ensure reimbursement to the City of its costs. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT OF ESCROW FUNDS. Contemporaneously with the execution of this Escrow Agreement, the Owners shall deposit$2,500 with the City. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the escrow account. 2. PURPOSE OF ESCROW. The purpose of the escrow is to guarantee reimbursement to the City for all out-of-pocket costs the City has incurred (including planning, engineering, in excess of $500, or legal consultant review) or will incur in reviewing the plan. Eligible expenses shall be consistent with expenses the Owners would be responsible for under a building permit application. The escrow will also guarantee reimbursement to the City for all out-of-pocket costs the City has incurred to assure that the work is completed in accordance with the Stormwater Pollution Prevention Plan and the provisions of Orono City Code Chapter 79. The financial security may also be used by the City to eliminate any hazardous conditions associated with the work and to repair any damage to public property or infrastructure that is caused by the work (including planning, engineering, or legal consultant review) associated with building permit #2013-00872 if compliance with the approved building permit is not accomplished. 3. MONTHLY BILLING. As the City receives consultant bills for incurred costs, the City will in turn send a bill to the Owners. Owners shall be responsible for payment to the City within 30 days of the Owners' receipt of bill. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event that the Owners do not make payment to the City within the timeframe outlined in#3 above, shall issue a Stop Work Order until the Owners pay all expenses invoiced pursuant to #3. The City may draw from the escrow account without further approval of the Owners to reimburse the City for eligible expenses the City has incurred. 5. CLOSING ESCROW. The Balance on deposit in the escrow, if any, shall be returned to the Owners when the review has been completed and written notification is received from the Owners requesting the funds. 6. CERTIFY UNPAID CHARGES. If the project is abandoned by Owners, or if the eligible expenses incurred by the City exceed the amount in escrow, the City shall have the right to certify the unpaid balance to the subject property pursuant to Minn. Stat. §§415.01 and 366.012. CITY: I OF NO OWNER: By: � � � its: � � �.� .. , - _ _ 5264 , _.. . . . zz-,s3wxeeo " WENDY J JOHNSON � �' PO BOX 142 CRYSTAL BAY,MN 55323 �� .��. .i.,.`t'r. �- � �.:.��.... ,. . � � � � � . �. - Pay to the � s•`"�" � �� F��lu ".. er of �•�•��•�� Qrd , ^� 'Z)ollars ' �°" ` 7 - CHECKING 2U00 : '. AF.fIN1T'Y PLUS ; � 'FEDERAL CREDR UNION (�ii)v�vl.Bafl�1Y�'�� + M, ` � ' e�� 'or' ' n� 05 264 .„. . ...: ,-.' L 2904 ZO : : . : �; �q60 630 L�� ., .... ... .:.. 81 Citv uf Clrur�o r='�ia �eiA:,ey ra�rc�kwa}, 1� tt1'Jf7C� �C J.r.F~J.1G ��.�C_'��t��Y�4'U Recexoi Nc�: �;.G'395�;� G��q � , c:�J:,� i.iEt' �YvCtis �rll"iil �1' . �r;=;iv tl;:i}�c �i�YlYiitlq aC�u EOYtiYtIt r' yE}S,C}YiJW �L[=k}JS:4 �y �' �.«��IV.C/�} G:VA:�'�)07c3. % i,�UV 7YVY`�.il FiY'Rl GP �ll i—?��QJ i�eferreu RE�V`l�E�NQiU�EyY' llaw�ls:� TO o 3 i: --_.___�+..�r�(v'F{}{,— ('.l12C y: __—_--____--_— Ghe�it Nu: 526� :',.�n�)O.Qt} F°ay�r; I��' tvi,rth Hrt�t Ur� i #��'1v t1U�7� Totat ��,�iied. c.;(�t,,�t),:� n -----------+1J- �r�a��au �,r,cere?: _____------_------ '`�,f::i f;4''s�, i)�:t;'.�r�hE ' � CITY OF ORONO � * 2 0 1 3 - 0 0 B 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 REPRINTED ON 9/24/2013 ADDRESS : 1360 NORTH ARM DR PIN : 07-117-23-41-0085 LEGAL DESC : VOLK JOHNSTON ADDN : LOT 003 BLOCK 001 PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT NOTE: 2013-00872 BUILDING PERMIT APPLICANT ESCROW FEE-BUILDING 2,500.00 GAMBONE&WENDY JOHNSON,JAMES 1360 NORTH ARM DR TOTAL 2,500.00 MOLTND, MN 55364- OWNER GAMBONE& WENDY JOHNSON,JAMES 1360 NORTH ARM DR MOLJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 9� Permit _ : �.__�—I � � � �iN ■ 4 i� � ► ►� � _�_� � ...0 � o'• ♦ l�pdate �kddress Pe�rr��. 20�13-0fl871 f: Nl�in R�t� �ddr�ss PermitAddress: 1360NorthArr�Dr t" ,�d�iti��! P9t� �ddress �" Parcel Issue r" Pprmit Issue General� Fe� Insp►e�ctfons{T� I Notes� Applicant Detaii� CO Q�tnit( . S�eq Ir�spee�€�n Type Ir�spector Qate St�r�s H Fee Rec � 1 Fodf[�t�g ---------------- WGIB 10I17/2013�P Y �0-- ---- • 2 Rer�red W�� WGIB �1��23f2fl13 P Q -- • 3 F�ar�i[�g^_______------- L�MA 11127/2013 P�-- - 0 � 4 Ittst��aFt -----------WGIB 1215l2013 P --- 0 - ► � • $ F�n�� METD 1110l2014 P Y 0 '' 7__ Radon P�ever�t�an InspecE�Q�t VNGIB 10129l2413 P---- Y 4— � ►� � x �